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RENAL LIFE LINK INC
NPI 1669438495
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Davenport, FL

Active since April 21, 2006
2/5
Overall Rating
45597 HIGHWAY 27 RIDGEVIEW PLAZA, DAVENPORT, FL 33897(863) 419-7408(863) 420-9165 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2025, Oct 1, 2024, May 19, 2022 and 3 more (6 updates tracked since 2020).

About Renal Life Link Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAL LIFE LINK INC (NPI 1669438495), doing business as Davenport Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Davenport, Florida and active in the NPI registry since April 2006. The organization lists Samuel T. Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1669438495
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL LIFE LINK INC
Location Address45597 HIGHWAY 27 RIDGEVIEW PLAZADavenport, FL 33897-4519
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(863) 419-7408
Fax(863) 420-9165
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateApril 21, 2006
Last NPPES UpdateApril 11, 20256 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1669438495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
45597 HIGHWAY 27 RIDGEVIEW PLAZA, Davenport, FL 33897
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Other Names 1

Doing Business AsDavenport Dialysis

Other Identifiers 1

Medicaid890850800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renal Life Link Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20050405001067Part A · End-Stage Renal Disease Facility (ESRD)Due dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Davenport Dialysis (CMS certification number 102819), from CMS Care Compare.

DaVita Davenport Dialysis

Dialysis facility · Davenport, FL
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number102819
ESRD NetworkNetwork 7
Hemodialysis Stations12
Medicare-Certified SinceApril 4, 2005
Location45597 HIGHWAY 27 Ridgeview PlazaDavenport, FL 33897 · Polk County
Phone(863) 419-7408
Services Offered
In-center hemodialysis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renal Life Link Inc's NPI number?

The NPI number for Renal Life Link Inc is 1669438495. It was assigned to this organization in the NPPES registry on April 21, 2006. The provider is doing business as Davenport Dialysis.

Where is Renal Life Link Inc located?

Renal Life Link Inc is located at 45597 Highway 27 Ridgeview Plaza, Davenport, FL 33897. The listed phone number is (863) 419-7408.

What is Renal Life Link Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Renal Life Link Inc enrolled in Medicare?

Yes. Renal Life Link Inc is registered in the Medicare PECOS enrollment system.

When is Renal Life Link Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Florida, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Is Renal Life Link Inc a Medicare-certified dialysis facility?

Yes. DaVita Davenport Dialysis is a Medicare-certified dialysis facility, certified since April 4, 2005.

What quality rating does Renal Life Link Inc have?

CMS rates DaVita Davenport Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Renal Life Link Inc accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 13 other insurers list Renal Life Link Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renal Life Link Inc was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.